HomeMy WebLinkAbout3444 FUCHSIA ST - Building Permits�
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Job Address:
Suite:
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CITY OF COSTA MESA
BUILD/NG DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
3444 FUCHSIA ST
HOUSE & GAR4GE
Parcel Number: 41217309
Appliwnt: ROBERTO VARGAS
Address: 3822 E LA PALMA
Owner:
Address
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BUILDING PERMIT
Zoning: R1 R1
PERMI�UMBER
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✓ 99-01474
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 09/14/1999
Issued: 09/14/1999
- �. / �:-Phone:� (714)630-5900�� �
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ANAHEIMCA .t�-�'-� - ,Zip: 92803,'-, � . ��-.;�..�
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�C STA MESA,�CA " � "�� Zip:� 92626 ' '`.' <= 1 r.�" ,` ` � � �\ �
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� j REROOF - T/O, INSTALL 7/16" OSB�BOARD, 1 L.AYER OF 30# FELT AND25 YEAR COMPOSITION SHINGLE ROOF. . - `'.
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;� � �,� PEESUMMARY �' - ' �
�,, Plan Check� . $0.00 � , � Calc Valuation , � � ��" $5,000.00'
, ��, � Permit� r- �� $111.25 , � , �2 - � - , � ;� [-:, ;� Claim Valuation , � - �ss;000,00�
' �� $MIP Res.��,`r� � $0.50 � -- � — `, '` ,
J � a _ ; %' 7' �
`' SMIP-Com: ;-, f $0.00 — f — - �, ;: • ��
' ���, �.,Other�`�,�,; $0.00
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, �Inspection: � ���$0.00 -` - — � ;. � i" _ �v.
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��, Total:� �$111.75 � � � � , � '�"l
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� � ' � . � ''. �: r'' PLANNING & ZONING... . _,/,� ' � �
SETBACKS � � � �; � ", - � � �
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MAINSTRUCTURE Front � 0-0 � ���Rear, 0�0 � , Left- 0-0 % RighP,' �0-0=;;-� � �� `
,� �� % .- � , � � � � . , . - %
ACCESSORY ; = �Front ;�0-0 � �Reai � 0-0 , Left 0-.0 - �Right �0-0; ;� %; j�
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PARKING `Ex�stinq. �0' �,Re uired: 0 Proposed: 0 �
NOTES:
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NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. � '
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
'�:
WORKERS'COMPENSAnONDECLARAnON: '
I hereby aHirtn untler penalry oi perjury one of t�e following dedarations:
❑ I have end will meintain a Certificete oi con5ent to 5elf-Insure for workers' compensation, as provitletl tor by section 3700 of the Lehor Cotle, for Ihe Oerlortnance of Ihe
work tor which this permit is iuued.
�I have and will maintain workers' compensation insurance, as requiretl �y section 3700 ot tha Labor Cotle, tor the pertortnance of tha work br which Ihis pertnit Is issuetl.
My workars' compensatl Insurence carner end policy number ere: /
Cerrier. Z��� ��/✓� PolicyNumber: 1�(/���y
(This secf/on neetl not be comp7eted! fhe perm�t Is valued et one huntlred dollare ($f 00) ar Iess.J
❑ I certih/ that in ihe pertormanc 1 he work for wh'Eh ihis permit is issued, I shell not employ any person in any menner so es to become subject to the workers'
compensation laws oi Californ' , agre that if I hould hecome subject to the workers' compensation pmvisions of Section 3700 of ihe Lebor Code, I s�all lotlhwith
wmply with these provisions /J
ApplicantSignawre: � Date: '7����1 �
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAV GE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN�RED
i}fOUSAND DOLLARE (5100,000�, IN ADOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED f-0R IN SECiION 3106 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I am
torCe antl Bttect. Lia N_
Comractors SlgnaNre:
of Ch �pier 9(wmmencing with Section 7000) of Division 3 ot the Busines��tl Professions Coda, antl my license is in full
Gass N /iS
A/Vh�r`n _ . Date: � I
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirtn Ihat there is a construction lentling agency for the pertortnance oi the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendefs Address:
Signature: Date:
OWNER-BUILtlER DECLARATONS:
I hereby attirm ihat untler penalry of perjury ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnii to consiruci, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the appliceN tor such permit
lo lile a signad statemeN ihat he or she is licensed pursuant to iha pmvisions of Ihe Contrectors License Lew (Chapter 9(commencing wlih Section 7000) of Division 3 of the
Business antl Protessions Code) or that he or she is exempt therefrom antl the hasis for ihe allegetl exemption. Any violation of Section 7031.5 by any epplicant for a permit
sub�ects the epplicant to a civil penalty of not more than fiva hundred dollars ($500).):
❑ I, as owner of Ihe property, or my employees with wages as lheir sole compensation, WILL DO TME WORK, and the structure is not intentletl or offered for sala (Sec.
7044, Business antl Professions Code: The Contractors License Law does not eppy to an owner of property who builtls or irtiproves Ihereon, antl who does such work
himself or harself or through his or her own employees, provided ihat such improvements are not intended or oflered for sale. If, however, ihe building or improvemem is
sold within one year of completion, t�e owner-builder will have Ihe burden of proving ihat he or she tlid not builtl or improve for purpose of sale.).
❑ I, as owner ot ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct ihe project (Sec. 7044, Business antl Professions
Code: The contrectors License Law tloes not appty to an owner of property who builds or improves thereon, entl who contracts for such pmject with a contrector(s)
license pur5uant lo Ihe Con�raCtors LiCBnse Laws.).
❑ I am exempt under sec. Business and Professions Cotle for this reason:
Signature: Date:
Owner ID verified by drivefs license. ❑ Yes ❑ No Dnvefs License No. Expires:
Venfication oi Ownership by (type of daument, i.e. - property tze bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity ihet no excavation live (5) or more feet in depth into which a person is requiretl to tlescend, will be made in connection with work euthonzetl by ihis
permit, antl that no building stmciure, scaHolding, talsework, or demolition or tlismantling ihereof, will be more than thirry-siz (36) teet �igh. (Chap. 32, Grp 2, Art 2, Sec.
341, TiUe B, Calitomia Atlminisiraiive Cotle).
� As owner-builtler, I will not employ anyone to do work which would require a permit from the Oivision of Industrial Safety, as noted above, unless such person hes a
permit to do such work trom ihe division.
Signature: Date:
Division of Industrial Safery Permit Number:
CERTIFICATE OF COMPLJANCE AND AUhiORIZATON OF ENTHV: I certity under penalty of parjury that I have read this application antl state Ihat the information given is
correct. I agree to comply with all siate laws antl ciry ordinances relating to building construction, and authonze representatives ot ihe Ciry of Costa Mesa to enter upon the
above-described property tor inspection purposes. I agree not �o occupy or allow occupancy of any building authorizetl �y this permit until finel inspection.
��igna�iur Oi� ner(s) /� Date
AnN f Autho zed Applicant � �� Date
CO�E I. INSPEttIONTYPE
7616 Fixetl System Final Fire Prevention
1266
200
Pool Spa Final
Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 . Pinal Demolition
244F68
on�r iNTffIALS
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CODE 1 INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
�[� INTRIpLS
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CITY OF COSTA NISSA Rr,QUEST rOR OCCUPAIJCY
Project Name ����Nd�eDK � M� Date �/`%�
Address 3� �!� �v S'c �s`�'`/
City Identification Ref . L o T ��S — %��� K. 77� d'
Buildir� Permit No • .l(A Q �
The developer of tne abo��e entitled project desires to rent or lease prior
to the time that the project has been completed and accepted by the City of
Costa Mesa.
Tkie undersigned, by executing this agreement, acknowledges that (he-she-they)
/
� � (was or were) �(�/�c.e�� � advised that
this project has not been given final inspection nor has it been accepted by
the City of Costa Mesa as having complied with the conditions of approval
whicn were imposed by the city at the time the was
approved.
The city assumes no liability for the enforcenent of the conditions necessary
for approval othel' than those conditions protected by surety bond.
The undersigned a,grees to indemnify and hold the city harmless from any claim
resulting in dama€;e or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
RECEIUED
CITY OF COSTA MESA
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By c/ ` � �,�
Developer and�or authorized
representative
BY— �'/! �/ .F�`T�
Lender
OWNER
JOB ADDRESS
GENERAL CONTF
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PROP. SWR. LINE Q
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IN So.A;Ca1.
Fuchsia Street
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LOT 185 TRACT
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TEMPORARY SERVICE OR POLE
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TRENCHES [� FORMS �' STEEL RE
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BONO'BEAM ❑ STEEL REINFORCE [
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FRAME ANO FLASHING
LATHING — IN P,/OUT
PLASTER, BROWN COAT
ST JRAL, FINAL
HE i, VENT., REFRIG. AND A.C., FI
PLUMBING, FINAL AN �
ELECTRIC, FINAL
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I FOR BUILDING PERMIT
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owNeA Larwin Southern California A.P. NO. J�
MAIL 16255 Ventura Bld. ADIDR'E S 3 .� �L�/�S/%s�
ADDRESS
CITV Encino California n�io��986-8890 rancr 7718 �or 185 s
CANSTRUCTION � W � P
LENDEfl rwin Southern California
BRANCH 16255 Ventura Blvd, GA�W��,/ S—a �+C, ✓
OWNER
nooaess Encino Californ ia �1
. t✓ qTT 6A,ei`U$ ii
OF ENGINE R ��1R S. Calif. rT,o�� 273-4464 S
FIRE �
ADDRESS 9100 Wilshire Blvd., Bev.��Hills ZONE T�PE GROUP
' APPROVED iI /l
CONTRACTOR Larwin Southern Calif ornia
ADDRESS 16255 Ventura Blvd.,
urv Encino, California No� 986-8890
L C No. 191311 LICVNO. . B-1
51 Z E NO. OF BlDGS.
OF �OT ()O X LOO I NOW ON LOT O
USE OF
EXISTING BIDG.
SIZE OF NO.OF
n,ewe�oc. 1436 ROOMS STORIES 1
EXTERIOR WAIL ROOF
COVEFING StllCCO COVERING WOOd shin�le
USE OF BUI4DING AND WOFK TO BE PERFORMED
Construction Single Family Residence
I hereby acknowledBa [hat I hava read this application zntl state
that the above intormation is correct and agree to comply with
all laws repulating builtling construction, antl I shell not employ
any person in violation of the workman's compensation laws of
ffie State ot California. �
I heteby cartity ffiat I am ptOperly licanutl as a contractor untler
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force antl effect, or 1
am exempt from the provisions of the State of California Business
antl Professions Cotle, Division 3, Chapter 9,
Signature o h� / A J D� D047[1S
Permlttee F/L (`
Authorized Agent
NO.
VARDSAPPROVED
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at
OISTANCE BET.
MAIN BLOGS.
VAR. #
G.U.P.�
APPROVEO
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THE AMOUNT SI
THE PURPOSE OF
VA�UATION
8 22,100
DATE
USE OF NEW �/dE�
BUILDING� T 6A/
VARDSAPPROVEC
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DATE
APPROVED
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UNDER VA�UATION IS FOR � j
LISHING A PERMIT FEE ONLV: m
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RMIT FEE S 83.00 j
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